Individual provider · Type 1 NPI
Jacqueline Mary Kelly, PNP
Pediatric Nurse Practitioner · Danville, WV
NPI number
1811651052
Active
Practice location
300 4th St
Danville, WV 25053-4632
Mailing address
271 Fellows Ave
Syracuse, NY 13210-2625
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 381614 (NY) |
Pediatric Nurse Practitioner: Definition to come...
5 other providers at this address
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- Aaron Michael Sparks, FNP-CFamily Nurse Practitioner Danville, WV NPI 1982510723
- Bethany Kristine MilamFamily Nurse Practitioner Danville, WV NPI 1962312744
- Lonnie Kent Lucas Jr., MDPsychiatry Physician Danville, WV NPI 1275113987
- Timothy Christopher Adkins, MDInfectious Disease Physician Danville, WV NPI 1851977961
About NPI 1811651052
Jacqueline Mary Kelly, PNP's National Provider Identifier is 1811651052, issued on Oct 25, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Danville, WV. The record was last updated on Jul 29, 2024.